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Short Courses

Registration FAX Application

Practical Short Course on Vegetable Oil Processing and Products of Vegetable Oils


October 26-30, 2008

Texas A&M University College Station, Texas

 

Full Name:

(Full name as it will appear on your diploma)
Job Title:
Company:
Address:
City:
State:
Zip Code:
Country:
Business Phone:
Fax:
E-Mail:
Name Card:

(Name you would like to be called)

Contact in case of emergency:

List any special diet requirements:

Method of Payment  (mark one):

 
Checks payable to TEES
If paying with credit card please include type of card
Credit Card:
American Express Visa Master Card Diners Club

Credit Card Number:

 

Expiration Date:

                                   
 
Full Name on Card:
 
Amount to be Charged : 

 

Signature:
____________________________________________________

 

Please type in your information above and print the form
OR
print the form and then write in your information and return this application to:

Cyndi Casanova

Short Course Coordinator

Food Protein R&D Center

The Texas A&M University System

2476 TAMU, 373 Olsen Blvd., Cater-Mattil Hall
College Station, Texas 77843-2476 U.S.A.

Phone: (979) 847-8997

Fax: (979) 845-2744

 

OR

Fax to: 979-845-2744

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